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Contracted Health Plans

When confirming if our laboratory is an approved provider we may be listed as SHC Reference Laboratory on your insurance's website.

Billing Terms

HMO Billing Information

When requesting SHC Reference Laboratory to bill 3rd party insurance please include the following information with the sample submission.

Patient demographics must include:

  • Full Name
  • Date of Birth
  • Mailing Address

Insurance information must include:

  • Name of Insurance Company
  • Member ID#
  • Subscribers full name on the plan

Commercial Health Plans and Networks

  • Aetna (PPO, EPO, POS)
  • Anthem Blue Cross of CA (EPO, POS, PPO)
  • Asmed Health Partnership (PPO)
  • BCE Emergis (PPO, EPO, POS)
  • Beech Street PPO
  • Benefits Panel Services (BPS) (PPO, EPO, POS)
  • Benefit Risk Management Services (PPO)
  • Blue Shield of California (PPO, EPO, POS)
  • Central California Alliance for Health
  • Choice Care / Humana (PPO)
  • CIGNA (PPO, EPO, POS, including PPO of Nevada)
  • CommercAdmar (now under MultiPlan) (PPO & EPO)
  • Community Breast Health Project (CBHP) Surgical Breast Biopsies Only
  • Coventry Health Care (PPO, EPO)
  • Conventry Health Care (Advanta Freedom Medicare)
  • CorVel Corp (PPO)
  • Definity (PPO) / Choice Plus
  • First Health (PPO, EPO)
  • ForMost (PPO)
  • Great West (PPO, POS, Open Access)
  • Health Net (PPO, EPO, POS)
  • Health Net Medicare Advantage
  • Health Payors Organization (HPO) (PPO)
  • Home Town Health Plans (PPO)
  • Interplan (PPO, EPO, POS)
  • Monterey Culinary Insurance Fund (PPO)
  • Multiplan (PPO)
  • PacifiCare Signature Independence Indemnity (PPO)
  • PacificCare Signature (PPO, POS)
  • PacificCare Options PPO
  • Pacific Health Alliance (PHA) (PPO)
  • Paschall & Associates (PPO)
  • Physicians Foundation for Medical Care (PPO, EPO)
  • PPO Next (formerly Health Network) (PPO)
  • Private Health Care Systems (PHCS) (PPO, POS/Open Access)
  • U.S. Behavioral Health (Stanford University, SHC & LPCH, Cisco Systems Employees)
  • United Health Care (UHC) Choice/Choice Plus, Definity (PPO)
  • United Health Care (UHC) Indeminity / Managed Idemnity (PPO)
  • United Payors & United Providers (PPO)
  • United Resource Network (PPO)
  • USA Managed Care Organization (PPO)
  • Washington of Social and Health Services (Washington Medicaid)

Government Program Payors

  • Medicare *
  • Medi-Cal
  • Nevada State Medicaid
  • Tricare Extra (PPO)
  • Tricare Standard (Idemnity)
  • Tricare Prime (POS)
  • Washington State Medicaid

*The originating hospital is responsible for any laboratory fees associated with the technical components (TC) of anatomic pathology referral services (CPT 88000-88400) provided to hospital inpatients or outpatients.


 
 


 
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